Immunohistochemical molecular phenotypes of gastric cancer based on SOX2 and CDX2 predict patient outcome

Background Gastric cancer remains a serious health concern worldwide. Patients would greatly benefit from the discovery of new biomarkers that predict outcome more accurately and allow better treatment and follow-up decisions. Here, we used a retrospective, observational study to assess the expression and prognostic value of the transcription factors SOX2 and CDX2 in gastric cancer. Methods SOX2, CDX2, MUC5AC and MUC2 expression were assessed in 201 gastric tumors by immunohistochemistry. SOX2 and CDX2 expression were crossed with clinicopathological and follow-up data to determine their impact on tumor behavior and outcome. Moreover, SOX2 locus copy number status was assessed by FISH (N = 21) and Copy Number Variation Assay (N = 62). Results SOX2 was expressed in 52% of the gastric tumors and was significantly associated with male gender, T stage and N stage. Moreover, SOX2 expression predicted poorer patient survival, and the combination with CDX2 defined two molecular phenotypes, SOX2+CDX2- versus SOX2-CDX2+, that predict the worst and the best long-term patients’ outcome. These profiles combined with clinicopathological parameters stratify the prognosis of patients with intestinal and expanding tumors and in those without signs of venous invasion. Finally, SOX2 locus copy number gains were found in 93% of the samples reaching the amplification threshold in 14% and significantly associating with protein expression. Conclusions We showed, for the first time, that SOX2 combined with CDX2 expression profile in gastric cancer segregate patients into different prognostic groups, complementing the clinicopathological information. We further demonstrate a molecular mechanism for SOX2 expression in a subset of gastric cancer cases.

A Clinical Support System Based on Quality of Life Estimation

Quality of life is a concept influenced by social, economic, psychological, spiritual or medical state factors. More specifically, the perceived quality of an individual's daily life is an assessment of their well-being or lack of it. In this context, information technologies may help on the management of services for healthcare of chronic patients such as estimating the patient quality of life and helping the medical staff to take appropriate measures to increase each patient quality of life. This paper describes a Quality of Life estimation system developed using information technologies and the application of data mining algorithms to access the information of clinical data of patients with cancer from Otorhinolaryngology and Head and Neck services of an oncology institution. The system was evaluated with a sample composed of 3013 patients. The results achieved show that there are variables that may be significant predictors for the Quality of Life of the patient: years of smoking (p value 0.049) and size of the tumor (p value < 0.001). In order to assign the variables to the classification of the quality of life the best accuracy was obtained by applying the John Platt's sequential minimal optimization algorithm for training a support vector classifier. In conclusion data mining techniques allow having access to patients additional information helping the physicians to be able to know the quality of life and produce a well-informed clinical decision.

A rule-based grapheme-to-phone converter for TTS systems in european portuguese

In this paper, a linguistically rule-based grapheme-to-phone (G2P) transcription algorithm is described for European Portuguese. A complete set of phonological and phonetic transcription rules regarding the European Portuguese standard variety is presented. This algorithm was implemented and tested by using online newspaper articles. The obtained experimental results gave rise to 98.80% of accuracy rate. Future developments in order to increase this value are foreseen. Our purpose with this work is to develop a module/ tool that can improve synthetic speech naturalness in European Portuguese. Other applications of this system can be expected like language teaching/learning. These results, together with our perspectives of future improvements, have proved the dramatic importance of linguistic knowledge on the development of Text-to-Speech systems (TTS).

Análise do ciclo de vida da produção do butanol

Este trabalho teve como objetivo avaliar e comparar os impactes ambientais da produção do butanol considerando três processos produtivos: um que usa fontes fósseis e dois que usam fontes renováveis, nomeadamente palha de trigo e milho. Para o primeiro caso considerouse o processo oxo e os restantes usaram o processo de produção ABE (acetona, butanol e etanol). Na primeira etapa estudaram-se e descreveram-se os diferentes processos referidos. A análise do ciclo de vida foi depois aplicada efetuando as quatro fases nomeadamente definição do âmbito e objetivo, inventário, avaliação de impactes e interpretação dos resultados obtidos. O inventário foi efetuado tendo em conta a bibliografia existente sobre estes processos e com o auxílio da base de dados Ecoinvent Versão3 Database™. Na avaliação de impactes utilizou-se o método Impact 2002 + (Endpoint). Concluiu-se que a produção do butanol pelo processo ABE utilizando o milho é a que apresenta maior impacte ambiental e a que produção do butanol pelo processo ABE usando a palha de trigo é a que apresenta um menor impacte ambiental, quando o processo de alocação foi efetuado tendo em conta as massas de todos os produtos produzidos em cada processo. Foi efetuada uma análise de sensibilidade para a produção de butanol usando palha de trigo e milho relativa aos dados de menor qualidade. No processo da palha de trigo fez-se variar a quantidade de material enviado para a digestão anaeróbia e a quantidade de efluente produzida. No processo relativo ao milho apenas se fez variar a quantidade de efluente produzida. As variações tiveram um efeito pouco significativo (<1,3%) no impacte global. Por fim, efetuou-se o cálculo dos impactes considerando uma alocação económica que foi executada tendo em conta os preços de venda para o ano 2013 na Europa, para os produtos produzidos pelos diferentes processos. Considerando o valor económico verificou-se um aumento do peso relativo ao butanol, o que fez aumentar significativamente o impacte ambiental. Isto deve-se em grande parte ao baixo valor económico dos gases formados nos processos de fermentação. Se na alocação por massa for retirada a massa destes gases os resultados obtidos são similares nos dois tipos de alocação.